EMDocs

APRIL 27, 2024

However, the bioavailability of antipseudomonal antibiotics has improved outcomes, limiting surgery as a confirmatory diagnostic procedure and as needed for granulation tissue removal. Infectious diseases , 4 (1), 34–39. Infectious diseases, 4(1), 34–39. and Staphylococcus spp. The Lancet. link] Grandis, J.,

EMS 83

EMS Infectious Diseases Radiology Radiology 83

The Skeptics' Guide to EM

MARCH 18, 2023

Association of early oseltamivir with improved outcomes in hospitalized children with influenza, 2007-2020. Guest Skeptic: Dr. Marisu Rueda-Altez is a pediatric infectious disease fellow at Children’s National Hospital in Washington, DC. JAMA Pediatr. JAMA Pediatr. JAMA Pediatr.

Pediatrics 40

Pediatrics Infectious Diseases Administration Outcomes 40

Taming the SRU

AUGUST 30, 2023

Spinal Infection: According to the Infectious Disease Society of America’s (IDSA) 2015 guidelines for native vertebral osteomyelitis, CRP and ESR in the setting of protracted back pain have sensitivities ranging from 94 to 100% for ruling out infection and malignancy in these patients.

Infectious Diseases 88

Infectious Diseases Sepsis Emergency Department Point-of-Care Testing 88

Don't Forget the Bubbles

MARCH 18, 2024

Clinical Infectious Diseases [Internet]. Disease severity of Shiga toxin-producingE. Disease severity of Shiga toxin-producingE. Early Volume Expansion and Outcomes of Hemolytic Uremic Syndrome. Cited June 2020]; 4 (11): 1261-1287. Cited June 2020]; Available from: [link] Hughes D. 2016 Jan 1;137(1).

Dehydration 59

Dehydration Infectious Diseases Seizures Pediatrics 59

PulmCCM

JULY 10, 2023

At 28 days, there were no observed differences in the primary outcome (an odd composite of mortality and emergence of antibiotic resistance), and no difference in survival at 90 days. Read at FDA Paxlovid appears to improve outcomes from Covid-19 infection in younger patients with significant comorbidities , but not in healthy young adults.

Stroke 52

Stroke Sepsis Infectious Diseases Outcomes 52

Don't Forget the Bubbles

JANUARY 10, 2024

Some wonder if giving blood to children with a haemoglobin <6g/dl will improve outcomes. Outcomes Primary outcome Mortality at 28 days after randomisation. The authors chose a patient-centred, primary outcome in keeping with their pragmatic design. What were the research questions? The study asked TWO questions: 1.

Blood Transfusions 78

Blood Transfusions Outcomes Research Hospitals 78

Don't Forget the Bubbles

FEBRUARY 28, 2024

Outcomes were: (1) crusting of the lesions; then (2) complete healing of lesions -the end goal of treatment. Was the exposure and outcome accurately measured to minimise bias? There were no objective tests to confirm disease clearance. It was not clear if there was any vested interest in ensuring a certain outcome.

Pediatrics 59

Pediatrics Infectious Diseases Outcomes Research 59

PulmCCM

OCTOBER 30, 2023

Professional Medical Societies Call for Elimination of SEP-1 The Infectious Diseases Society of America (IDSA), along with societies for emergency medicine physicians and hospitalists, are again speaking up about the ongoing policy experiment known as the Centers for Medicare and Medicaid Severe Sepsis/Septic Shock Management Bundle (SEP-1).

Sepsis 52

Sepsis Shock Hospitals Outcomes 52

Pediatric EM Morsels

SEPTEMBER 20, 2024

HUS findings: Microangiopathic hemolytic anemia , Renal failure , and Thrombocytopenia The most dreaded outcomes of HUS include need for renal replacement therapy both short and long term and unfortunately death. It is critical to detect HUS early in its disease course to ensure the best outcomes. Epub 2010 Jan 13. Bergmann, K.,

Pediatrics 161

Pediatrics Ultrasounds Dehydration Emergency Department 161

EMDocs

NOVEMBER 16, 2024

13 Management: Dislocation As with all dislocation, early reduction improves outcomes. Infections For stable patients, obtain microbiologic samples prior to antibiotics (per the American Academy of Orthopedic surgery and The Infectious Diseases Society of America). 2020 Sep 30;5(9):558-567. 2020 Aug 6;9(8):2548.

EMS 76

EMS Dislocations Fractures Operations 76

The Skeptics' Guide to EM

NOVEMBER 28, 2020

Date: November 25th, 2020 Guest Skeptic: Dr. Joe Vipond has worked as an emergency physician for twenty years, currently at the Rockyview General Hospital. Date: November 25th, 2020 Guest Skeptic: Dr. Joe Vipond has worked as an emergency physician for twenty years, currently at the Rockyview General Hospital. Should they do it?

Infectious Diseases 52

Infectious Diseases Outcomes Operations Wellness 52

PulmCCM

NOVEMBER 25, 2024

Surveyed infectious disease experts advise about 14 days of antibiotic treatment for most patients with bloodstream infections, especially the critically ill. days of treatment), or clunky composite outcomes (e.g., 2020 Jun 2;323(21):2160-2169. doi: 10.1001/jama.2020.6348. PMID: 32484534; PMCID: PMC7267846.

Infectious Diseases 40

Infectious Diseases Research Hospitals Outcomes 40

Pediatric Education

JUNE 25, 2023

The most recent (2020) Cochrane Collaboration review states, “[t]reatment of [chronic suppurative otitis media] with topical antibiotics (quinolones) probably results in an increase in resolution of ear discharge compared with boric acid at up to two weeks.” ”” Questions for Further Discussion 1. .”

Infectious Diseases 40

Infectious Diseases Pediatrics Seizures Outcomes 40

Don't Forget the Bubbles

SEPTEMBER 23, 2024

Consider CMV, EBV and BK-polyoma virus infections: Patients are often on prophylaxis for a variable length of time, with differing outcomes. CMV can present as a nonspecific viral illness or tissue-invasive CMV disease. Obesity: Obesity, whether before or after transplant, is linked to worse outcomes. Aydin, A.M., Dogan, H.S.,

Pediatrics 52

Pediatrics Fractures Dehydration Sepsis 52

EMDocs

NOVEMBER 25, 2024

Vision loss carries a high degree of morbidity and is associated with higher all-cause mortality, 4 and it is our role as emergency providers to recognize potentially reversible causes of such adverse outcomes. million infected people suffer from skin disease and 1.15 Vision 2020: update on onchocerciasis. 7 Approximately 14.6

Infectious Diseases 54

Infectious Diseases Emergency Department EMS Administration 54